How to Identify Unstable Lisfranc Injuries? Review of Diagnostic Strategies and Algorithm Proposal.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 33543724.
- Also identified by DOI 10.1016/j.fcl.2020.08.011.
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Abstract
"Misdiagnosed Lisfranc injuries can be as high as 50%, leading to chronic pain, functional impairment, and posttraumatic arthritis. Subtle or incomplete lesions are the most problematic group for an adequate diagnosis. Conventional non-weight-bearing radiographs can overlook up to 30% of unstable cases. Abduction stress radiographs and anteroposterior monopodial comparative weight-bearing radiographic views are very useful to identify instability. Computed tomography gives detailed information about fracture patterns and comminution. MRI can predict instability but it is expensive and not readily available in the acute setting."
Medical subject headings
- Foot Injuries
- Fractures, Bone
Anatomy
- foot